Organization Active NPI

Bergmann'S Inc

  • Pharmacy
  • Fitchburg, WI
National Provider Identifier
1730211152
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
6218-042 Issued in WI
Legal business name
BERGMANN'S INC
Practice address
2960 Cahill Main Ste 2
Fitchburg, WI 53711-7157
Phone
(608) 273-4490
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christine Marie Walker, RPH
Title
Owner
Phone
(608) 273-4490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 6218-042 WI Primary

Addresses

Primary practice location

2960 Cahill Main Ste 2
Fitchburg, WI 53711-7157

Mailing address

2960 Cahill Main Ste 2
Fitchburg, WI 53711-7157
Phone (608) 273-4490

Other identifiers 1

IdentifierTypeStateIssuer
33023500MedicaidWI

Other names 1

  • Bergmann Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2960 Cahill Main
Ste 2
Fitchburg, WI 53711
Phone (608) 273-4490

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1730211152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 CAHILL MAIN STE 2",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537117157",
            "telephone_number": "608-273-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 CAHILL MAIN STE 2",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537117157",
            "telephone_number": "608-273-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGMANN'S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-273-4490",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "6218-042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33023500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bergmann Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.